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SI03 INC. NPI 1144505447


NPI Information

NPI: 1144505447
Provider Name: SI03, INC.
Classification: Medical Foods Supplier - 335G00000X
Entity Type: Organization
Address:
4711 NASH ROAD
SCOTT CITY, MO
ZIP 63780
Phone: (573) 388-2301
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SI03, INC. is a medical foods supplier in Scott City, MO. The provider is a supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies. SI03, INC. NPI is 1144505447. The provider is registered as an organization entity type.

The provider's business location address is:

4711 NASH ROAD
SCOTT CITY, MO
ZIP 63780
Phone: (573) 388-2301
Fax: (573) 388-2308

The provider's authorized official is Jeff Fanger .
The authorized official title is General Manager and has the following contact phone number (573) 388-2301.

The enumeration date for this NPI number is 10/18/2011 and was last updated on 10/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335G00000XMedical Foods SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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